Latest Inspection
This is the latest available inspection report for this service, carried out on 4th June 2009. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for St Mary`s Home.
Annual service review
Name of Service: St Mary`s Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Penny McMullan Date of this annual service review: 0 5 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 8 Eastbrook Place Dover Kent CT16 1RP 01304204232 01304207138 Maureensmith1204@aol.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Mr A Kupendrarajah Number of places (if applicable): Under 65 Over 65 36 0 0 36 The maximum number of service users to be accommodated is 36. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) (Maximum number of places - 8) Old age, not falling within any other category (OP) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: A seperate dementia unit for a maximum of eight service users was registered with the Commission on 19th May 2008. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service St. Marys is a large detached property providing residential and dementia care for up to 36 service users over the age of 65. The home is located within the town of Dover and has the benefit of all local amenities within easy walking distance, and public transport nearby. The seafront is approximately 10 minutes walk away and the train
Annual Service Review Page 2 of 7 station; bus terminal and Dover Ferry Port are all within easy reach. The owner has refurbished and extended part of the ground and lower ground floor to create a dementia unit to accommodate up to 8 people with dementia. The unit is secure and on the ground floor there is a large comfortable lounge with a small kitchenette to the side for staff to make refreshments. The lounge has large picture windows to the garden. The existing dining room on the lower ground floor has been extended to create a space that will seat a further 8 residents. Access to the garden is on this level also. Residential accommodation is situated over four floors with a passenger lift available for easy access to all floors. There are 28 single bedrooms, all with en-suite toilet and washbasin, telephone, and call bell. Communal areas consist of four lounges on various floors, a dining room and a dedicated activities room. There are small kitchenettes on each floor where service users or their visitors can make themselves drinks. The home also has its own chapel and a hairdressing room. There is a very pleasant well-maintained garden to the rear of the property, a first floor patio area, and a small, secure car park. The owner of the home is Mr. Kupendrarajah who also owns a home in the Maidstone area. The Registered Manager is Mrs. Maureen Smith who has been with the home for many years. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. The last key inspection was on 9th July 2008 when the service was rated as two star, good. This included: The annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home returned the Annual Quality Assurance Assessment (AQAA) when we asked for it. This was clear and comprehensive. It identified areas that have improved in the last year and others where further developments are either planned or would benefit service users. This included evidence that the service seeks the views of residents and other stakeholders. The last inspection report was very positive. There is also evidence from the AQAA that the home is continuing to look at ways of improving what it does to ensure good outcomes for those receiving a service. The AQAA told us that the service has continued to develop and improve. For example: The service has reviewed the peoples contracts and a new contract will be offered to everyone shortly. The AQAA states that staffing skills have improved and they are able to recognise symptoms in their clients and report more promptly to their senior staff if they have any concerns. The service has purchased a number of games, musical items and puzzles to enhance the already structured activity programme in place. They are currently aiming to take all residents who wish to, out into the local gardens, sea front, coffee shop or on shopping trips on a more regular basis. Annual Service Review Page 4 of 7 The home has implemented a check list for staff files to make sure all of the relevant documentaion is in place. They have appointed five Senior Carers, three working in the residential side of the home and two in the dementia unit. The staff are all suitably qualified and experienced for their roles and this means that there are always two senior staff members on duty. Feedback from health care professionals, relatives and staff are all very positive and details are as follows: Two doctors completed the postal survey and responses are very positive about all of the services in the home. One comment: The home has a pleasant, friendly caring atmosphere. There is always an experienced member of staff available when I call. Staff always appear to have residents best interests in mind. When asked what the home does well relatives comment: Absolutely everything about St Marys is first class. The Manager and all of her staff cannot be praised enough. The Manager and her team ensure that St Marys is a home in the sense for everyone living there. As well as providing the day to day care that each different individual needs, they also go out of their way to do extra little things to make people feel special. St Marys is a wonderful place and has given my precious relative a new lease of life and we are entirely secure in the fact that she is receiving the best possible care and is happy. We are incredibly grateful to the Registered Manager and everyone at St Marys for making it such a special place and just wish more people had such a wonderful home available for their relatives when extra help is needed. Staff comments: St Marys is a happy home and caring. I work in the dementia unit and we work well as a team and have a good staff group. We provide support for staff and residents, the Manager is always available. We employ good staff. We put clients needs first; observe health and safety of all clients and staff. St Marys is well run. I have worked in care for many years and this is the best home I have worked in. Clients are always first and well cared for by good care staff. The home provides a safe environment for the service users. It provides meals of very good quality. There have been no complaints since the last inspection and no issues or concerns have been forwarded to the Commission. A relative comment: As with any service where so many people are involved, things are not always going to run perfectly, but the Manager aspires to them getting it a hundred per cent right. She tries to pre-empt problems and if things do go wrong she takes a positive, proactive approach in fixing them. As a relative of someone living at St Marys you cant ask for more than that. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 We are not going to change our inspection plan, and will do a key inspection by 9th July 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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